CHARISMA NICOLE MANLEY (M.D.) – Obstetrics & Gynecology Physician, NPI 1851735328

CHARISMA NICOLE MANLEY (M.D.) is a healthcare provider. based in Villa rica, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 078094 (GA). The NPI Number for CHARISMA NICOLE MANLEY (M.D.) is 1851735328

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
CHARISMA NICOLE MANLEY (M.D.)
NPI
1851735328
Phone
(770) 459-3850
Address
690 Dallas Hwy Ste 301
Enumeration Date
26 April 2013
Last Update Date
11 October 2018

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
4047787525
Graduation Year
2013 (13 years ago)
PAC ID
3971805250
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20181115000207
Address ID
GA303221013AT1365XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for CHARISMA NICOLE MANLEY (M.D.)

  • 690 Dallas Hwy Ste 301

    Villa Rica, GA 301801262

    Phone: (770) 459-3850

    Fax: (770) 812-3623

    Type: Location

  • 720 WESTVIEW DR SW

    ATLANTA, GA 303101458

    Phone: (404) 752-1500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-11-13 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181115000207IObstetrics/GynecologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30180)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

How do payers reference CHARISMA NICOLE MANLEY (M.D.)?
For CHARISMA NICOLE MANLEY (M.D.), use NPI 1851735328 as the unique 10-digit identifier.
Is there an active status for CHARISMA NICOLE MANLEY (M.D.)?
For scheduling context, CHARISMA NICOLE MANLEY (M.D.) is shown as active in the registry.
What kind of doctor is CHARISMA NICOLE MANLEY (M.D.)?
CHARISMA NICOLE MANLEY (M.D.) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is CHARISMA NICOLE MANLEY (M.D.) registered?
Use Villa Rica, Georgia as the headline location for CHARISMA NICOLE MANLEY (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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